Fill out the form below with as much detail as possible. After you submit the information, it will automatically be emailed to our team for review and approval, and an MKSAA team member will get in touch with you by the end of the next business day about your claim

Please review the NAAA Guidelines and the MKSAA Arbitration Policy before submitting your arbitration claim.

Dealer Information

Dealership Name: *

Dealer #:

Contact Person's Name: *

Direct Phone #: *

Email: *

Preferred Method of Communication: *

Call

Text

Texting Number: *

Is your preferred email the same or different than the one entered above? *

Same

Different

Preferred Email: *

Vehicle & Transaction Information

Purchase Date of Vehicle: *

Vehicle VIN (Last 6 Digits): *

Vehicle Year: *

Vehicle Make: *

Vehicle Model: *

Current Odometer Reading: *

Arbitration Type: *

Mechanical

CR / Check-In

Disclosure

Title

Did you purchase a PSI? *

Yes

PSI Type: *

7-Day

14-Day

What light did you buy this car on? *

Green

Red

White

Location: *

At Dealership

MKSAA

Other Other

Reason for Arbitration (Describe the Specific Issue): *